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A Pilot, Single-Blind, Randomized Controlled Study Evaluating the Use of Platelet-Rich Plasma for Hand Skin
Thais Pincelli1, Suha Zawawi1, Shane Shapiro2
1From the Department of Dermatology.
Plastic and Reconstructive Surgery
|October 30, 2023
Summary
Platelet-rich plasma (PRP) injections did not show significant improvement for aging hand skin compared to saline. This study suggests PRP is not a reliable cosmetic option for hand rejuvenation.
Area of Science:
- Dermatology
- Aesthetic Medicine
- Regenerative Medicine
Background:
- Platelet-rich plasma (PRP) contains growth factors beneficial for collagen regeneration in aging skin.
- Aging skin on the hands is a common cosmetic concern.
- PRP is explored as a potential treatment for skin aging.
Purpose of the Study:
- To evaluate the efficacy and safety of PRP injections versus saline for treating aging skin of the hands in women.
- To compare the cosmetic outcomes and patient-reported quality of life between PRP and saline treatments.
Main Methods:
- A prospective, randomized, controlled, single-blind clinical trial involving 18 women with aging hands.
- Participants received PRP injections in one hand and saline in the contralateral hand every 4 weeks for 12 weeks.
- Assessments included physician evaluation, clinical photography, and quality-of-life questionnaires at baseline, 12 weeks, and 24 weeks.
Main Results:
- No significant differences in patient-reported outcomes or physician assessments were observed between PRP- and saline-treated hands (P ≥ 0.25).
- Patients reported similar levels of pain, discomfort, and burning/stinging sensations in both treatment groups.
- A blinded investigator found no discernible differences in clinical photographs comparing the two treatment modalities.
Conclusions:
- Three PRP injections over 12 weeks were ineffective for improving the appearance of aging hand skin in women.
- No significant difference was found compared to baseline or saline injections.
- PRP is not considered a reliable cosmetic option for managing hand aging, with age potentially influencing treatment response.

